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Ann Thorac Surg 2000;69:623-625
© 2000 The Society of Thoracic Surgeons

Case Reports

Thoracoabdominal aortic aneurysm combined with aortic occlusion

Ryuji Kunitomo, MD, PhDa, Hiraaki Goto, MD, PhDa, Junichi Utoh, MD, PhDa, Nobuo Kitamura, MD, PhDa

a First Department of Surgery, Kumamoto University School of Medicine, Kumamoto, Japan

Address reprint requests to Dr Kunitomo, First Department of Surgery, Kumamoto University School of Medicine, 1-1-1 Honjo, Kumamoto 860-8556, Japan
e-mail: ryuji{at}kaiju.medic.kumamoto-u-ac.jp

The case of a 73-year-old woman with aneurysms of the thoracoabdominal aorta and distal arch, combined with aortic occlusion, is reported. Cannulation from the femoral artery was not possible because of the aortic occlusion. Blood supply to the abdominal viscera and lower extremities was achieved only by selective perfusion from the celiac artery, superior mesenteric artery, and bilateral renal arteries. A unique choice of selective perfusion for distal circulatory support is described.




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